Cath left heart transseptal punc at MEDICAL CITY MCKINNEY HOSPITAL
4500 Medical Center Drive, McKinney, TX · Medicalcityhealthcare · · NPI 1437102639
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,504.07 with Humana vs $48,330.08 with National Healthcare Solutions — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Humana | COMM | $1,504.07 | — |
| Superior Health Plan | STARHealth | $2,796.00 | — |
| Superior Health Plan | MCDSTAR | $2,796.00 | — |
| Superior Health Plan | STARPLUS | $2,796.00 | — |
| Superior Health Plan | STARKids | $2,796.00 | — |
| Superior Health Plan | CHIP | $2,796.00 | — |
| Cigna | IFP | $6,524.56 | — |
| Cigna | QHP | $6,766.21 | — |
| United | OptionsPPO | $9,037.72 | — |
| Imperial Insurance Company | MCR | $9,182.72 | — |
| Oscar | HIX | $9,364.00 | — |
| BCBS | MyBlueHealth | $11,937.53 | — |
| BCBS | BlueAdvantageHMO | $11,937.53 | — |
| Aetna | QHPHIX | $12,049.00 | — |
| Unicare | CHIP | $12,565.82 | — |
| United | NarrowNetworkIndivExchange | $12,818.00 | — |
| Cigna | LocalPlus | $13,779.87 | — |
| Cigna | NewBusiness | $13,779.87 | — |
| BCBS | BluePremier | $14,112.38 | — |
| Cigna | HMO | $15,397.96 | — |
| Cigna | OpenAccessPlus | $15,397.96 | — |
| Cigna | NetworkBenefit | $15,397.96 | — |
| BCBS | BlueEssentials | $15,417.30 | — |
| BCBS | BlueEssentialsAccess | $15,417.30 | — |
| Healthcare Highways | NarrowNetwork | $15,816.00 | — |
| BCBS | EPOSOA | $16,190.58 | — |
| Healthcare Highways | CityofPlano | $16,335.57 | — |
| Aetna | NewBusiness | $16,508.00 | — |
| Evry Health | COMM | $16,817.00 | — |
| City of McKinney | COMM | $16,915.53 | — |
| BCBS | PPO | $16,915.53 | — |
| United | SmallGroup | $16,983.00 | — |
| Curative Administrators | COMM | $17,384.00 | — |
| Aetna | Meritain | $17,640.00 | — |
| Aetna | COMM | $17,640.00 | — |
| Cigna | AllOther | $19,469.29 | — |
| Aetna | OON | $20,752.00 | — |
| BCBS | Traditional | $21,458.56 | — |
| Fidelis SecureCare | MGMCR | $21,748.54 | — |
| United | AllPayerAppendix | $22,644.00 | — |
| National ChoiceCare | WCOMP | $24,165.04 | — |
| Physicians Coop of TX | MGMCR | $26,581.54 | — |
| Aetna | WCOMP | $26,581.54 | — |
| Rockport Health Group | WORKERSCOMP | $26,581.54 | — |
| PC Texas Partners | WCOMP | $26,581.54 | — |
| Averde Health, Inc | PPO | $28,031.45 | — |
| Value Options Behavioral Health | COMM | $28,998.05 | — |
| Magellan BH | Pinnacle | $28,998.05 | — |
| Magellan BH | Summit | $28,998.05 | — |
| Humana | BHCOMM | $31,414.55 | — |
| Coastal Comp Health Networks | WCOMP | $33,831.06 | — |
| Multiplan PHCS | PrimaryNetwork | $33,831.06 | — |
| Mega Life | MGMCRPPO | $33,831.06 | — |
| Aetna Coventry First Health | COMM | $35,135.97 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $36,247.56 | — |
| HealthSmart Preferred Care | PPO | $38,664.06 | — |
| Cigna Behavioral Health | COMM | $38,664.06 | — |
| ComPsych Corporation | COMM | $38,664.06 | — |
| USA Managed Care | COMM | $38,664.06 | — |
| Galaxy Health Network | PPO | $41,080.57 | — |
| Unicare | MCD | $48,330.08 | — |
| Independent Medical Systems | COMM | $48,330.08 | — |
| National Healthcare Solutions | COMM | $48,330.08 | — |
| Aetna | ASA | not published by hospital | — |
Visitor-reported prices
Comments
Cath left heart transseptal punc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $8,154.70 | $2,310.50 – $16,180.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney | $8,154.70 | $1,745.11 – $17,647.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,154.70 | $2,310.50 – $13,331.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,790.02 | $2,015.11 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,817.63 | $1,363.53 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,154.70 | $2,174.59 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,790.02 | $3,142.60 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,790.02 | $5,058.18 – $14,685.03 |